{extend name="public/base"/}
{block name="body"}
<style>
    .reset{
        padding:5em 1em 1em 1em;
    }
</style>
<form method="post" class="form reset" role="form" name = "myForm" ng-controller="chonzhiCtrl" novalidate>
    <div class="form-group">
        <label class = "col-xs-12">密保问题</label>
        <select class="form-control col-xs-10">
            <option selected value = "籍贯">您的籍贯是哪？</option>.
        </select>
        <p class = "help-block">请选择您的籍贯.</p>
    </div>
    <div class="form-group">
        <label class = "col-xs-12">答案</label>
        <input class="form-control col-xs-10" placeholder = "您的答案" />
        <p class = "help-block">请输入答案.</p>
    </div>
    <div class="form-group">
        <label class = "col-xs-12">用户名</label>
        <input class="form-control col-xs-10" placeholder = "您的用户名" />
        <p class = "help-block">请输入您的用户名.</p>
    </div>
    <div class="form-group">
        <label class = "col-xs-12">新密码</label>
        <input class="form-control col-xs-10" placeholder = "输入密码" />
        <p class = "help-block">请设置6-12位的新密码.</p>
    </div>
    <div class="form-group">
        <button class = "btn btn-primary center-block">确认提交</button><a style = "position:relative;left:14em;top:-1.5em">注册</a>
    </div>
</form>
{/block}
